Abstract
INTRODUCTION: Long bone fractures are one of the commonest causes of mortality and morbidity in young population. Interlocking nail is the treatment of choice but requires image intensifier and special operation theater setup. Surgical Implant Generation Network (SIGN) nail can be done with out these additional requirements.
OBJECTIVE: To evaluate the results of SIGN Nail treatment for long bone fractures.
MATERIAL AND METHODS: This prospective observational study was carried out from April 2009 to Dec 2010 at the Orthopedic Department of Mercy Teaching Hospital Peshawar Pakistan. All patients treated with SIGN Nail were included in this study. Patients presented with trauma and long bone fracture were initially stabilized according to ATLS protocol. Nailing was done on the next available list. All patients were followed in out door patient department.
RESULTS: Out of 89 patients, 24 (27%) were female, while 65(73%) were male. Fifty nine percent had fracture tibia, 30.3% had fracture femur while 7.9% patients had fracture humerus. In 2 (2.2) patients both tibia and femur was fractured. Close reduction was performed in 22(24.7%) patients, while in 67 (75.3%) patients, open reduction was done. Three (3.37%) patients had infection, 3(3.37%) nonunion and 2(2.24%) patients had cutout of locking screws.

Key words: Fractures, Nonunion, Long bones, Femur, Tibia, Humerus, SIGN Nail.